Organization Active NPI

Hodges Convalescent AIDS, Inc

Doing business as Osceola Home Care

  • Durable Medical Equipment & Medical Supplies
  • Fort Pierce, FL
National Provider Identifier
1285631804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
150591 Issued in FL
Legal business name
HODGES CONVALESCENT AIDS, INC
Doing business as
Osceola Home Care
Practice address
405 S 7TH St
Fort Pierce, FL 34950-8322
Phone
(772) 464-4362
Fax
(770) 464-4382
NPI assigned
Jun 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gerald T Capak, R.PH
Title
President
Phone
(772) 567-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 150591 FL Primary

Addresses

Primary practice location

405 S 7TH St
Fort Pierce, FL 34950-8322

Mailing address

405 S 7TH St
Fort Pierce, FL 34950-8322
Phone (772) 464-4362

Other names 1

  • OSCEOLA HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

405 S 7th St
Fort Pierce, FL 34950
Phone (772) 460-2520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285631804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 7TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508322",
            "telephone_number": "772-464-4362",
            "fax_number": "770-464-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 7TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508322",
            "telephone_number": "772-464-4362",
            "fax_number": "770-464-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES CONVALESCENT AIDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPAK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-5297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "150591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCEOLA HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.